. Cyclopædia of obstetrics and gynecology . thebladder which is above the point compressed by the uterus. Course and Prognosis.—Most cases pass unobserved, and the grave 206 A TREATISE ON OBSTETRICS. symptoms disappear wlien the uterus rises out of the pelvis, between threeand a half and Iour months. If it remains incarcerated in the true pelvisserious symptoms may appear, and first pregnancy and later the life ofthe mother may be endangered. But this is not absolute, for the incar-ceration is never complete as in retroversion. When anteversion occurs suddenly, pregnancy is less secure, but al
. Cyclopædia of obstetrics and gynecology . thebladder which is above the point compressed by the uterus. Course and Prognosis.—Most cases pass unobserved, and the grave 206 A TREATISE ON OBSTETRICS. symptoms disappear wlien the uterus rises out of the pelvis, between threeand a half and Iour months. If it remains incarcerated in the true pelvisserious symptoms may appear, and first pregnancy and later the life ofthe mother may be endangered. But this is not absolute, for the incar-ceration is never complete as in retroversion. When anteversion occurs suddenly, pregnancy is less secure, but all de-pends, in this case, on the time which elapses before the reduction of theuterus. Generally, all the grave symptoms disappear when the uterusis once replaced, and pregnancy pursues its regular course. Treatment.—This consists, first and foremost, in reduction of the dis-placed organ. Complications must then be met by appropriate means,but especial care must be exercised in providing for evacuation of thebladder and of the Fig. 15.—Retroversion of the Uterus, early in Pregnancy.—a, Right pubis. 6, Os tincce. c,Canal of the urethra, d, Vagina, e, Body of the uterus. /, The bladder at Its maximum develop-ment. 3, The rectum, ft,, The sacro-vertebral angle, i, Section of the tube and of the left broadligament. {Boivin & Duges.) [ A so-called supra-pubic pad abdominal supporter, will ordinarily cor-rect the anteversion after the uterus has risen above the brim. Beforethis period, the symptoms are rather due to downward sagging of theuterus, and traction, in consequence, on the neck of the bladder. In thiscase, the open cup-pessary of Thomas may be tried, often with relief tothe main symptom—vesical tenesmus.—Ed.] 4. Retroversion. Uterine retroversion consists in the complete displacement of the organin the pelvic cavity, so that the fundus is contained in the hollow of the DISEASES OF PREGNANCY. 207 sacrum while the cervix is carried forward beneath the sy
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